Peru: Policlínico Peruano Americano
Psychological Evaluations Provided to Incoming Students: Q1 2019
May 01, 2019
Magali M. de Pujalt and Noam Zohar
Summary of Activities
On August 15, 2007, Pisco, Perú experienced a deadly earthquake: 7.9 on the Richter scale. Over 500 people died, 37,000 families were left without homes, and 150,000 people were left without water. The majority of the health infrastructure was damaged or destroyed in the earthquake, and many people were in need of medical attention. Real Medicine Foundation’s team was deployed to Perú on October 12, 2007 in an effort to assist those in need.
RMF’s clinic, Policlínico Peruano Americano, provides all basic health services for free. To promote coresponsibility and sustainability, the clinic requests a minimal fee for specialty services, such as lab work and ultrasounds, and offers wholesale prices for medication. Patients who cannot afford minimal fees or wholesale prices are not charged. The clinic places strong emphasis on prevention and education, and this is evident in all facets of the clinic’s operations.
During this Quarter:
- The new location for the Policlínico Peruano Americano opened its doors on April 21, 2018 on Calle Daniel del Solar N° 400, Pisco. Operating Hours: 7:00 AM – 4:00 PM.
- An agreement was signed with the director of the school Our Lady of Guadalupe. This was a commitment of mutual agreement for the psychological evaluation of the new students.
- In January and February, the RMF Perú team worked on the elaboration of a Comprehensive Health project, with the advice of Alejandro Peñalver, to offer services to different educational institutions in the province of Pisco.
- The Psychology team continued its evaluations in educational centers.
- We started March by offering integrated health services to educational centers.
- We drafted a triptych to promote our integrated services.
- A project on anemia in the population of Ica was also presented to our USA headquarters.
- Dr. Hugo Tapia, director of Mission PAMS for Pisco, is already in communication with the team of volunteers to organize this year’s activities.
- The Psychology team evaluated the incoming students at the School of Initial Education No. 182 and at Our Lady of Guadalupe. A total of 190 children were evaluated, and the parents received their reports and were counseled.
In January and February, the RMF Perú team visited different schools offering our psychology services. In March, we visited the same schools as well as others offering the Comprehensive Health project, which consists of a psychological evaluation, anemia screening, and dental evaluation with fluoridation. These services will be provided at a minimal rate to parents.
We were visited by Dr. Ernesto Valdivieso, who returned from Germany and brought an electrocardiogram machine and a blood pressure monitor.
We visited the company Agroparacas, which is dedicated to the export of asparagus and is in the midst of a campaign to reach 500 workers. Mr. Jorge, administrator of the company, allowed us to present our services to the workers, giving us access to the company facilities for a comfortable environment.
On August 15, 2007, Pisco, Peru experienced a deadly earthquake: 7.9 on the Richter scale. Over 500 people died, more than 37,000 families were left without homes, and 150,000 people were left without water. The majority of the health infrastructure was damaged or destroyed in the earthquake, and the people were in need of medical attention. Real Medicine Foundation’s team was deployed to Peru on October 12 in an effort to assist those most in need.
The primary objective of our project was to bring long-term free healthcare to the victims of the earthquake who had lost their homes, possessions, and in many cases, loved ones. The areas most affected were Pisco, Ica, Chincha, Cañete, and Huancavelica. The site of the RMF clinic is in San Clemente, Pisco. San Clemente is the poorest district of Pisco, and the overwhelming majority of people cannot afford to pay for health services. In addition, outreach programs have been initiated to service the health needs in the very remote and impoverished areas around San Clemente and Pisco.
- Treatment of acute and chronic illnesses at our urgent care center, “Policlínico Peruano Americano.”
- To provide all basic health services for free. To promote co-responsibility and sustainability, the clinic requests a minimal fee for specialty services, such as lab work and ultrasounds, and offers wholesale prices for medication. Patients who cannot afford minimal fees or wholesale prices are not charged.
- To improve the comprehensive health of the community through outreach programs, educational programs, and public health initiatives.
- Prevention and health education are strongly emphasized in all facets of the clinic’s operations.
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Castillo Yepez Santos Eduardo
2 Years Old
Castillo Yepez Santos Eduardo, a 2-year-old boy, attended the polyclinic with his mother after being referred due to mild wheezing as well as redness of the skin and itching when touching the affected area. The examination showed granulomatous, erythematous, and itchy lesions on the left side of the neck. He also had granulomatous lesions on his left leg as well as itchy erythematous lesions without discharge. The patient was diagnosed with allergic dermatomy and dermatomycosis.
- Metronidazole 250 mg/5 ml syrup: 5 ml every 8 hours for 5 days.
- Clotrimazole 1% cream: apply every 12 hours for 5 days.
- Dexamethasone syrup: 3 ml every 12 hours for 5 days.
Aguilar Quispe Juana
60 Years Old
Aguilar Quispe Juana, a 60-year-old woman, arrived at the polyclinic with symptoms such as a headache, discomfort when urinating, and general malaise. At the doctor’s office, she reported burning, stinging, and whitish secretions a week before, and added that she was diagnosed with diabetes mellitus 3 years ago but has not been treated. Aguilar underwent laboratory tests for cholesterol, triglycerides, glucose, urine, and complete blood count. The tests confirmed her diabetes mellitus diagnosis, and she also tested positive for mixed dyslipidemia and bacterial vaginitis.
- Metronidazole 500 mg: 4 tablets (2 mg) single dose.
- Clotrimazole 1% cream: apply at night for 5 days.
- Prednisone 20 mg: 1 tablet every 12 hours for 3 days.
- Metformin 850 mg: 1 tablet every 12 hours for 30 days.
- Glibenclamide 5 mg: 1 tablet every 24 hours for 30 days.
- Atorvastatin 20 mg: 1 tablet at breakfast for 30 days.
- Gemfibrozil 600 mg: 1 tablet at lunch for 30 days.
- A soft diet low in sugar, flour, and fat is recommended.
Aguilar is scheduled for a follow-up in 1 month.
Figueroa Cabezudo Fernando
79 Years Old
Figueroa Cabezudo Fernando, 78 years old, arrived at the polyclinic with dizziness, malaise, and weight loss for no apparent reason. He told the doctor that constant dizziness makes it difficult for him to walk normally and also reported constipation and loss of appetite for several days. On examination, the patient was thin and pale and had tenderness in the lower abdomen. He underwent laboratory tests with negative results for dyslipidemia, normal glucose levels, and normal hemoglobin levels at 11.8. He was recommended for a prostate cancer screening as well as a prostate-specific antigen (PSA) test.
- A balanced diet and consultations for test results
56 Years Old
Sara Salguero is 56-year-old patient who went to the polyclinic for the first time in January presenting symptoms of bronchitis. She had previously sought treatment at another health center but was not feeling better. The doctor recommended treatment for 3 days, followed by supervision of the condition. Sara was also instructed to continue taking the medication for 3 days after starting to feel better. In March, she returned to request a consultation, presenting symptoms such as stomach pain, diharrhea, burning urination, and a high temperature. After a physical examination, laboratory tests were requested, and the results led to the diagnoses of a urinary tract infection and prediabetes.
- Genfibrozil 600 mg: 1 tablet a day.
- Amikacin/Clofenamine 4 mg I/M: Once a day for 5 days.
- A low-sugar diet is recommended.